Racial disparities in time to laparoscopic cholecystectomy for acute cholecystitis

Disparities in healthcare exist, yet few data are available on racial differences in time from admission to surgery. This study aimed to compare time from admission to laparoscopic cholecystectomy for acute cholecystitis between non-Hispanic Black and non-Hispanic White patients. Patients who underw...

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Bibliographic Details
Published in:The American journal of surgery 2023-08, Vol.226 (2), p.261-270
Main Authors: Porras Fimbres, Denisse Cristina, Nussbaum, Daniel P., Mosca, Paul J.
Format: Article
Language:English
Subjects:
Bias
Blood
Body mass index
Cholecystectomy
Cholecystitis
Chronic illnesses
Chronic obstructive pulmonary disease
Classification
Diabetes
Disparities
Ethnicity
Gallbladder diseases
Gender
Health equity
Health promotion
Hospitals
Hypertension
Implicit bias
Laparoscopy
Malnutrition
Morbidity
Mortality
Multivariable control
Patients
Pneumonia
Probability
Race
Race factors
Sepsis
Statistical analysis
Surgery
Surgical outcomes
Variables
Ventilators
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Description
Summary:Disparities in healthcare exist, yet few data are available on racial differences in time from admission to surgery. This study aimed to compare time from admission to laparoscopic cholecystectomy for acute cholecystitis between non-Hispanic Black and non-Hispanic White patients. Patients who underwent laparoscopic cholecystectomy for acute cholecystitis from 2010 to 2020 were identified using NSQIP. Time to surgery and additional preoperative, operative, and postoperative variables were analyzed. In the univariate analysis, 19.4% of Black patients experienced a time to surgery >1 day compared with 13.4% of White patients (p 1 day (OR 1.23, 95% CI 1.17–1.30, p 1 day.•Time from admission to surgery is one way in which disparities in access to timely acute care may manifest.•Efforts must be made to address disparities in surgical care so that all patients receive the highest quality of care.
ISSN:0002-9610
1879-1883
DOI:10.1016/j.amjsurg.2023.05.004